HomeMy WebLinkAboutWPO201700021 Application 2017-02-21 1?1
, AlbemarleJty llVA 4.0 401 McIntire Road Charlottesville,VA22902-4°
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' Planning Application Voice:(434)296-5832 Fax:(434)972-4
PARCEL / OWNER INFORMATION
TMP 06200-00-00-00800 Owner(s): FREE STATE PARTNERS LLC
Application # WP0201704021
PROPERTY INFORMATION
Legal Description I ACREAGE
Magisterial Dist. Rio Land Use Primary Forest
Current AFD i Not in A/F District 11 Current Zoning Primary R4 Residential
[APPLICATION INFORMATION
Street Address Entered
Judy Martini
Application Type Water Protection Ordinances n.
L J 2/22/2017
Project Free State Run - VSMP
Received Date 02/21/17 Received Date Final Submittal Date 03/02/17 Total Fees 13
Closing File Date Submittal Date Final Total Paid 13
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type Sub Application Comment
Stormwater Management/BMP Plan 03/02/17
Erosion and Sediment Control Plan 03/02/17
APPLICANT / CONTACT INFORMATION
ContactType Name Address CityState Zip Phone PhareCe
Owner/Applicant FREE STATE PARTNERS LLC PO BOX 645 CHARLOTTESVILL 22902
Primary Contact JUSTIN SHIMP 201 E. MAIN ST., STE. M CHARLOTTESVILL 22902 4342275140
•
Signature of Contractor or Authorized Agent Date
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Virginia Stormwater Management Program (VSMP) a�- ;_ai
Application for Albemarle County
Project Name: Frcc S.LTe.
(The name should be the same as it appears on plans)
Is this an amendment to an approved plan? Yes ❑ No
Is this a revision or resubmission for review? Yes 0 No Gil.
County File Number : tft miff.41 (to be provided by the County for new applications)
The following are required elements of new applications[from code section 17-401]. For revisions or
amendments,please indicate which items are being amended Signatures must be provided for any
submission.
0 A. Signature of the Property Owner for each parcel: (Required with every submission or revision, NOT
TO BE SIGNED BY AN AGENT OR CONSULTANT)
By signing this application as the owner,I hereby certify that all requirements of these plans and permits will be
complied with,and I have the authority to authorize the land disturbing activities and development on the subject
property. I hereby grant the County of Albemarle the right to enter upon the property as required to ensure
compliance with the approved plans and permits.
-ram Met GZ PC,JL SPA.C. . :, w. / 2/:
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Tax Map&Parcel Print Name of Property Owner Signa ./ of Owner Date
Tax Map&Parcel Print Name of Property Owner Si. ature of Owner Date
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
Tax Map&Parcel Print Name of Property Owner Signature of Owner Date
Contact Information for the Owner(s)to receive correspondence:
Print Name .4.i
Address Zoo Cuss St SA),Q
City C crk,ok-kkob s% State \IPt Zip ? g02
Daytime Phone(51A) 3O\ S` Y E-mail �w�nk. s gk'*.••Vl..r,wv4�•
7/1/l4_ Revised. 7/1f1/14 Paoe 1 nf2
❑ B. All Fees [Code section 17-208]
For new or modified plans; Total acres proposed to be disturbed
Acres to be Total Fee Fee Due with this Fee with Transfer or
disturbed Application modification of permit
Less than 1 $290 $145 $20
1 and less than 5 $2,700 C$1,350 $200
5 and less than 10 $3,400 $1,700 $250
10 and less than 50 $4,500 $2,250 $300
50 and less than $6,100 $3,050 $450
100
100 and more $9,600 $4,800 $700
For(minor)amendments to an approved plan;$200 per review
Variances;$150
Mitigation Plan;$150
❑ C. Registration Statement on the official DEQ form.
❑ D. Erosion and Sediment Control Plan satisfying the requirements of code section 17-402.
❑ E. Stormwater Management Plan satisfying the requirements of code section 17-403.
❑ F. Pollution Prevention Plan satisfying the requirements of code section 17-404.
❑ G. Stormwater Pollution Prevention Plan satisfying the requirements of code section 17-405.
❑ H. Mitigation Plan satisfying the requirements of code section 17-406 for any proposed disturbance of
stream buffers.
❑ I. Requested Variations or Exceptions as provided in code sections 17-407 and 408.
❑ J. Construction Record Drawings (as-builts) for any existing facilities in the proposal satisfying the
requirements of code section 17-422.
Provide 2 copies of allplans and any supporting documents. Professional seals must have original
signatures.
Additional information if not provided on plans and documents:
Name of a Contact Person for correspondence(usually the plan preparer,consultant or agent)
Print Name �13,3,,s 9,;,,,.__ ..o
Address 2,o\ S NAut• ��- S,#ta. t'
City ak.."t te;1/46, . State ‘W' Zip 22 2-
Daytime Phone MP%) 2Z4-. S MO E-mail JJya.,.. 7� 51a11•0_ 42.11•1.4A-A.N3 , Gs•--
*When applications and plans are reviewed,but not approved,and a response to comments is not received within 6 months
from the date of county comments,the application will be deemed withdrawn. Applications without valid owner's
signatures will not be considered valid.
FOR OFFICE USE ONLY WPO#
Fee Amount$ Date Paid a.4.1_117 By who? J 9jI 00 Receipt# 10%463 Ck#_1+19&)Q By://7
7/1/id Ravicpii•7/if/let n.no^) ..r1
Albemarle County tori
Courity WPO WPO Application Process ' `4-
application and fee
LI $1,700
(sample fee for site between 5-10 acres, totals $3,650)
co late ess
chLL k
(10 days)
i pl n co ents (2-4 weeks)
• :ions (*) ('; Time for applicant revisions is
--0-- pl Co ' en (2-4 weeks) highly variable. This averages 3
plC
w zs: Ions (*) revision cycles. Waivers, modification,
exceptions, and board approvals
--•0-.i pl n co en (2-4 weeks) = extend time significantly.)
i =n rev ions (*)
p n ap? oval (2-4 weeks)
stormWpnagement
maintenance agreement '
and recording fee$17 Any pro-rated fees ----
for regional facilities p rcel c eck w/easements
bond�eq est need to be paid here (allow 2 weeks)
and fee $250 Si! C - erifications
16+ + • _ _ (allow 2 weeks)
b• d a unt estimated
(allow 1 week)
b• d ag -ment prepared
b• Id po =d —4,.- sulety prtvided
b.. d agr ement completed
DE registration review
DE regi ation (1 week) c• ai .rney approval
pa silt 1 DEQ fee (allow 1 week)
$952 c• lliti •ineer approval
DE .1 ceofGCP
receipt of DEQ General , ( 3 days)
Construction Permit
(allow 1 week)
pre-co structi n meeting
request and permit fee $748
pre o str ction meeting •- ---.-^-1
actions required
by applicant
grad ermit issued
This sample timeline is for Water Protection 0 OS
start work Ordinanceapplications only. Site Plans, actions required
Subdivision Plats, Street Plans,Zoning Map by county
Amendmnets, Special Use Permits, and other
plans and processes which may affect reviews, 1 2014
approvals, or permits are not shown. July